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The mitochondrial tRNA(Leu(UUR)) mutation in mitochondrial encephalomyopathy, lactic acidosis, and strokelike episodes (MELAS): genetic, biochemical, and morphological correlations in skeletal muscle.

Abstract
Mitochondrial encephalomyopathy, lactic acidosis, and strokelike episodes (MELAS) has recently been associated with an A----G transition at position 3243 within the mitochondrial tRNA(Leu(UUR)) gene. Besides altering the tRNA(Leu(UUR)) sequence, this point mutation lies within a DNA segment responsible for transcription termination of the rRNA genes. We have studied the distribution and expression of mutant mtDNAs in muscle biopsies from MELAS patients. Histochemical, immunohistochemical, and single-fiber PCR analysis showed that ragged-red fibers (RRF) are associated both with high levels of mutant mitochondrial genomes (greater than 85% mutant mtDNA) and with a partial cytochrome c oxidase deficiency. By quantitative in situ hybridization, the steady-state ratios of mRNAs:rRNAs were found to be similar to controls in six of eight patients studied. In two other patients the relative levels of heavy-strand mRNAs were slightly increased, but a patient with myoclonic epilepsy and RRF also exhibited a similar increase. These results directly correlate the A----G transition at mtDNA position 3243 with muscle mitochondrial proliferation, partial respiratory-chain impairment, decreased mitochondrially synthesized protein content, and no specific alterations in mitochondrial ratios of mRNAs:rRNAs.
AuthorsC T Moraes, E Ricci, E Bonilla, S DiMauro, E A Schon
JournalAmerican journal of human genetics (Am J Hum Genet) Vol. 50 Issue 5 Pg. 934-49 (May 1992) ISSN: 0002-9297 [Print] United States
PMID1315123 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • DNA, Mitochondrial
  • RNA, Transfer, Leu
  • Electron Transport Complex IV
Topics
  • Acidosis, Lactic (genetics, metabolism, pathology)
  • Adult
  • Cerebrovascular Disorders (genetics, metabolism, pathology)
  • DNA, Mitochondrial (genetics)
  • Electron Transport Complex IV (metabolism)
  • Female
  • Gene Expression (genetics)
  • Humans
  • Immunohistochemistry
  • Male
  • Mitochondria, Muscle (metabolism, pathology)
  • Muscles (metabolism, ultrastructure)
  • Mutation (genetics)
  • Neuromuscular Diseases (genetics, metabolism, pathology)
  • Nucleic Acid Hybridization
  • Polymerase Chain Reaction
  • RNA, Transfer, Leu (genetics)

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